Treatment of thrush during pregnancy
Although candidiasis is an internal condition, it is completely sexually transmitted. Therefore, the course of treatment is assigned to both partners, during this period, the use of a condom is necessary for sexual intercourse.
Treatment of thrush is characterized by the use of systemic and local drugs. Systemic drugs are tablets, which the patient takes inwards. Initially, they have an effect on the intestinal environment, then are absorbed into the blood and penetrate to the organs and tissues of the human body. For non-pregnant patients, this is the main and most preferred method, in contrast to the local treatment (candles, creams). The fact is that most of the fungi are in the intestinal tract and for effective treatment they must be destroyed first. Plus, the habitat of the Candida fungus is also the thickness of the vagina walls, where drugs of local use can not be obtained - their area of activity is the surface, they only contribute to reducing the manifestations of the disease, but do not kill the pathogen in full. Systemic drugs act through blood on all organs. However, in pregnancy, not all systemic drugs can be used to treat thrush, many of them are toxic and have side effects. Typically, pregnant women suffering from thrush, of all the systemic drugs prescribed only ineffective "Nystatin" and "Pifamucin."
"Pifamucin" is an antifungal drug that is not harmful during pregnancy and feeding. It is quite effective and not toxic even in small doses. Other drugs related to the systemic ones - Fluconazole (Diflucan), Levorin, Nizoral, and many others - should not be used during pregnancy.
To local treatment include the use of suppositories, vaginal tablets and creams. Usually this method of treatment is combined with systemic drugs, in addition, in pregnancy, it is preferable.
Drugs of local treatment are all the same. Usually a suppository with nystatin, a suppository or a cream with pimafucine is used. The drug "Clotrimazole" ("Kanesten"), which is very often used in the treatment of candidiasis in nonpregnant women, in no case be used during the first trimester of pregnancy, it is undesirable to use it at later dates.
Vaginal tablets and a suppository for treatment of thrush for 10 days are inserted deep into the vagina every night before going to bed.
In addition to the fact that specific antifungal agents are used to treat thrush, it is possible to use antiseptic and anti-inflammatory drugs, which are common in alternative methods of treatment. Widely used solution of sodium tetraborate in glycerin (borax in glycine), as well as ordinary greens. The essence of their action in the mechanical removal of mycelial fungus, living on the walls of the vagina, the suspension of their growth, the provision of anti-inflammatory action, the elimination of complaints and symptoms. Characteristic for the use of these drugs is the absence of side effects, because they are often chosen for treatment during the first trimester of pregnancy, while the use of other drugs is strictly prohibited. The gauze pad is moistened in solution, and then the walls of the vagina are wiped with it.
Iodine preparation "Betadin", widely used for the treatment of thrush in non-pregnant patients, is also contraindicated during fetal gestation - it affects the baby's thyroid gland and can lead to disturbances in its formation.
Although Candida fungus lives in almost every woman's body, and pregnancy predisposes to their reproduction, but not all pregnant women suffer from thrush. First of all, the exacerbation of the yeast infection is affected by immunodeficiency, therefore if candidiasis does not lend itself to easy and definitive treatment, most likely a serious chronic pathology is observed in the body. Therefore, it is important to include general strengthening and immunomodulating medications for the general treatment of the disease. In addition, multivitamins are prescribed, since the presence of hypovitaminosis is a common cause that causes immunodeficiency, contributing to the creation of a favorable background to the side effects of many medications. As immunomodulators, during pregnancy, rectal suppositories containing viferon are used.
If we talk about probiotics that contain useful microorganisms already present in the human body, then during the treatment of thrush you can take only drugs with bifidobacteria. Candidiasis does not contribute to the suppression of lactobacilli, therefore, no additional need to take their needs, plus to all the lactobacillus contribute to an even more active reproduction of fungi.
It is important to remember that the treatment of thrush during pregnancy should be prescribed only by the attending doctor who is familiar with the individual characteristics of the future mother, her propensity for allergies, knows what condition her liver and kidneys are in, how pregnancy is, and what pathologies accompany. It is better not to engage in self-medication at all, and even more so during the gestation of the baby, because incorrect treatment can be dangerous not only to the mother, but also to her child.
The husband of the pregnant woman should also be treated for thrush, it does not matter whether the couple continues their sex life during pregnancy, or not. A man can take any of the effective drugs, including "Fluconazole", "Nizoral" and others.